[Radnurse?]

Trying to get a feel for the norm of the nurse role in other angio suites.

Are you (RN) ever expected to scrub in for procedures.

Do you set up the procedural trays? Do nurses drive the table? Is it a violation of any radiation regulatory rules for the RN to drive the table?

During "on-call" cases, who makes up the team? If Conscious/moderate sedation is required is the team more than 1 nurse, 1 rad. tech and the radiologist. Do the MD and scrub tech drive the table themselves? During the procedure, does the sedating RN have any other responsibilities other than managing and monitoring her patient?

How much call time do you take in a month? What is your on-call pay?

Who does PICC lines in your facility? Are they done after hours?

Thanks for any info you can provide!

[jer_sd]

Originally Posted by Radnurse?

Trying to get a feel for the norm of the nurse role in other angio suites.

Are you (RN) ever expected to scrub in for procedures.

I love scrubbing, also depending on state law is a rad tech scrubs they may be considered under the RN license same as CSTs so you might be responsible for their scrubbing. Unless their license covers scrubbing for procedures.

Do you set up the procedural trays? Do nurses drive the table? Is it a violation of any radiation regulatory rules for the RN to drive the table?

Setting up the tray is multidisiplinary, who ever has time to do so does it. Depends on specific state law on moving the table it may be considered positing for a x-ray but in many states x-ray is not a licensed field.

During "on-call" cases, who makes up the team? If Conscious/moderate sedation is required is the team more than 1 nurse, 1 rad. tech and the radiologist. Do the MD and scrub tech drive the table themselves? During the procedure, does the sedating RN have any other responsibilities other than managing and monitoring her patient?

Ideal world 1 scrub (CST/Xray/RN), 1 sedating nurse, 1 rad tech (functioning as circulator also). Check your states guidlines on moderate sedation but sedating a patient and scrubbing is not best practice. One interesting question is on short staffed procedures (on call) what is the hospital policy does IR need to abide by OR standards or do they have their own, can the x-ray tech serve as circulator does that have to be a RN, can the RN be designated as circulator and sedating nurse for the same case?

How much call time do you take in a month? What is your on-call pay?

Frequency depends on staffing of the unit, if called in 2 hour minimum at 1.5 times base pay. On call has ranged from 4-6 per hour depending on the hospital

Who does PICC lines in your facility? Are they done after hours?

Usually infusion nurses do picc lines then IR the failed attempts by nursing. Can be done on call if the on call MD agrees to place it.

Thanks for any info you can provide!

I answered the quesitons good topics that radiology RNs deal with a lot.
Jeremy

[Radnurse54]

Here at our hospital (TN) the IR techs are responsible for all things involving radiation or their equipment. The MD has some control over the table with hand and foot pedals. The role of the RN is for sedation, unless for some cases sedation is not used. The IR tech, circulates and provides other equipment or supplies as needed. The standard for sedation monitoring as far as Joint Commission and ASA, is that the sedation nurse's role is to be that of monitoring the patient and giving meds, they are not to scrub in or have other specified duties. Does this mean you cant get a supply and drop it on the table, of course you can. It just means you cant have other duties that can take your attention away from the primary responsibility.
On call we are much like above with IR tech, Nurse, MD and usually Resident involved.

[kckcgussyy]

Trying to get a feel for the norm of the nurse role in other angio suites.
REPLY, I worked in a 4 room angio setting. The nurses did NOT scrub in, the rad techs did that and set up the trays. The rad techs ran the table with the physican who also could run it. There is nothing wrong with a nurse running the table, its just that your primary purpose is the patient which you are Conscious sedating.No the team for Conscious sedation /ON-CALL or regular is a tech,RN,attending and resident(we are a teaching hospital.) When there is time the tech helps the nurse and visa versa...Call pay is 2.00 per hour, than time and a half. call was split between 12 nurses, so 1 weekend every 3 months and (F-SA-SUN) and 3-4x a month (M-TH). called oin about 1-2x a month.
The sedating RN gets and gives report,checks labs, and maintains the patient during the proceedure.
PiCC line teamn does them, if they can't than they come down to Interventional Rad.

Hope that helps.
kc... RN.RNC(radiology certified)



Are you (RN) ever expected to scrub in for procedures.

Do you set up the procedural trays? Do nurses drive the table? Is it a violation of any radiation regulatory rules for the RN to drive the table?

During "on-call" cases, who makes up the team? If Conscious/moderate sedation is required is the team more than 1 nurse, 1 rad. tech and the radiologist. Do the MD and scrub tech drive the table themselves? During the procedure, does the sedating RN have any other responsibilities other than managing and monitoring her patient?

How much call time do you take in a month? What is your on-call pay?

Who does PICC lines in your facility? Are they done after hours?

Thanks for any info you can provide! [/quote]